Individual
MR. STEPHEN BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2260
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R211436
MD
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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